Grey scale ultrasonography

evaluating the jaundiced patient

N. R. Zusmer, S. J. Harwood, N. H. Pevsner, W. R. Janowitz, Aldo N Serafini

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Over a period of one year, 75 patients with jaundice were evaluated by grey scale ultrasonography. Intravenous cholangiography was attempted in 26 instances (bilirubin value greater than 4.3 mg/100 ml) and was diagnostic in only four. Ultrasound, on the other hand, was diagnostic for surgical jaundice in 62 of the 75 cases (82%). In 52 of the 62 patients a cause for the extrahepatic obstruction was demonstrated: 40 had cholelithiasis and choledocholithiasis, and 12 had tumors (11 pancreatic tumors, one lymphoma). In the remaining ten instances, obstruction was sonographically demonstrated but the cause was not. Of these, four patients were subsequently proven to have distal common duct stones, five had carcinoma of the pancreas and one had cholangiocarcinoma. This evidence indicates that ultrasound should be the noninvasive procedure of choice in the clinical assessment of obstructive jaundice.

Original languageEnglish
Pages (from-to)498-501
Number of pages4
JournalSouthern Medical Journal
Volume71
Issue number5
StatePublished - Dec 11 1978

Fingerprint

Jaundice
Ultrasonography
Choledocholithiasis
Cholelithiasis
Cholangiocarcinoma
Obstructive Jaundice
Cholangiography
Bilirubin
Pancreas
Lymphoma
Neoplasms
Carcinoma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Zusmer, N. R., Harwood, S. J., Pevsner, N. H., Janowitz, W. R., & Serafini, A. N. (1978). Grey scale ultrasonography: evaluating the jaundiced patient. Southern Medical Journal, 71(5), 498-501.

Grey scale ultrasonography : evaluating the jaundiced patient. / Zusmer, N. R.; Harwood, S. J.; Pevsner, N. H.; Janowitz, W. R.; Serafini, Aldo N.

In: Southern Medical Journal, Vol. 71, No. 5, 11.12.1978, p. 498-501.

Research output: Contribution to journalArticle

Zusmer, NR, Harwood, SJ, Pevsner, NH, Janowitz, WR & Serafini, AN 1978, 'Grey scale ultrasonography: evaluating the jaundiced patient', Southern Medical Journal, vol. 71, no. 5, pp. 498-501.
Zusmer NR, Harwood SJ, Pevsner NH, Janowitz WR, Serafini AN. Grey scale ultrasonography: evaluating the jaundiced patient. Southern Medical Journal. 1978 Dec 11;71(5):498-501.
Zusmer, N. R. ; Harwood, S. J. ; Pevsner, N. H. ; Janowitz, W. R. ; Serafini, Aldo N. / Grey scale ultrasonography : evaluating the jaundiced patient. In: Southern Medical Journal. 1978 ; Vol. 71, No. 5. pp. 498-501.
@article{9a78889062fe4b6e81acd23e220c4a67,
title = "Grey scale ultrasonography: evaluating the jaundiced patient",
abstract = "Over a period of one year, 75 patients with jaundice were evaluated by grey scale ultrasonography. Intravenous cholangiography was attempted in 26 instances (bilirubin value greater than 4.3 mg/100 ml) and was diagnostic in only four. Ultrasound, on the other hand, was diagnostic for surgical jaundice in 62 of the 75 cases (82{\%}). In 52 of the 62 patients a cause for the extrahepatic obstruction was demonstrated: 40 had cholelithiasis and choledocholithiasis, and 12 had tumors (11 pancreatic tumors, one lymphoma). In the remaining ten instances, obstruction was sonographically demonstrated but the cause was not. Of these, four patients were subsequently proven to have distal common duct stones, five had carcinoma of the pancreas and one had cholangiocarcinoma. This evidence indicates that ultrasound should be the noninvasive procedure of choice in the clinical assessment of obstructive jaundice.",
author = "Zusmer, {N. R.} and Harwood, {S. J.} and Pevsner, {N. H.} and Janowitz, {W. R.} and Serafini, {Aldo N}",
year = "1978",
month = "12",
day = "11",
language = "English",
volume = "71",
pages = "498--501",
journal = "Southern Medical Journal",
issn = "0038-4348",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Grey scale ultrasonography

T2 - evaluating the jaundiced patient

AU - Zusmer, N. R.

AU - Harwood, S. J.

AU - Pevsner, N. H.

AU - Janowitz, W. R.

AU - Serafini, Aldo N

PY - 1978/12/11

Y1 - 1978/12/11

N2 - Over a period of one year, 75 patients with jaundice were evaluated by grey scale ultrasonography. Intravenous cholangiography was attempted in 26 instances (bilirubin value greater than 4.3 mg/100 ml) and was diagnostic in only four. Ultrasound, on the other hand, was diagnostic for surgical jaundice in 62 of the 75 cases (82%). In 52 of the 62 patients a cause for the extrahepatic obstruction was demonstrated: 40 had cholelithiasis and choledocholithiasis, and 12 had tumors (11 pancreatic tumors, one lymphoma). In the remaining ten instances, obstruction was sonographically demonstrated but the cause was not. Of these, four patients were subsequently proven to have distal common duct stones, five had carcinoma of the pancreas and one had cholangiocarcinoma. This evidence indicates that ultrasound should be the noninvasive procedure of choice in the clinical assessment of obstructive jaundice.

AB - Over a period of one year, 75 patients with jaundice were evaluated by grey scale ultrasonography. Intravenous cholangiography was attempted in 26 instances (bilirubin value greater than 4.3 mg/100 ml) and was diagnostic in only four. Ultrasound, on the other hand, was diagnostic for surgical jaundice in 62 of the 75 cases (82%). In 52 of the 62 patients a cause for the extrahepatic obstruction was demonstrated: 40 had cholelithiasis and choledocholithiasis, and 12 had tumors (11 pancreatic tumors, one lymphoma). In the remaining ten instances, obstruction was sonographically demonstrated but the cause was not. Of these, four patients were subsequently proven to have distal common duct stones, five had carcinoma of the pancreas and one had cholangiocarcinoma. This evidence indicates that ultrasound should be the noninvasive procedure of choice in the clinical assessment of obstructive jaundice.

UR - http://www.scopus.com/inward/record.url?scp=0017815981&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0017815981&partnerID=8YFLogxK

M3 - Article

VL - 71

SP - 498

EP - 501

JO - Southern Medical Journal

JF - Southern Medical Journal

SN - 0038-4348

IS - 5

ER -